In consideration of the services of Hangtime Trampoline Inc. their agents, owners, officers, volunteers, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "HTI"), I hereby agree to release, indemnify, and discharge HTI, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

  • I acknowledge that my participation in indoor trampoline, foam pit, obstacle course, octagon roll, tumble track and climbing wall activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: slips and falls; rope burns; pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, broken bones, concussions, or even more severe life threatening hazards; the negligence of other people; my own physical condition; and the risk of emotional and psychological injuries or physical damage associated with this activity. Trampolines entail certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. Participants often fall on each other resulting in broken bones and other serious injuries. Double bouncing, more than one person per trampoline can create a rebound effect causing serious injury. Flipping and running and bouncing off the walls is dangerous and can cause serious injury and must be done at the participants own risk; being struck by other objects dislodged or thrown from above; the use and potential or actual failure of climbing ropes and equipment; the risk of falling off the wall; loose and/or damaged artificial holds; abrasions from the walls, ropes, pads, or the floor; equipment failure; belay and or belayer failure; climbing out of control or beyond ones personal limits; the negligence of other climbers, visitors, participants, or other persons who may be present.

Furthermore, HTI personnel have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.

  • I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

  • I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless HTI from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of HTI’s equipment or facilities, including any such claims which allege negligent acts or omissions of HTI.

  • Should HTI or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

  • I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

  • In the event that I file a lawsuit against HTI, I agree to do so solely in the state of North Carolina, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against HTI on the basis of any claim from which I have released them herein. I also agree that this document is valid for subsequent visits and participation at HTI. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

When filling out this form, the adult's name and information goes at the top and there are spots for up to 4 minors at the bottom. 


Please provide the required field.

In consideration of (print minor's name) (print minor's name) ("Minor") being permitted by HTI to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless HTI from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.

Please provide the required field.

Private parties available for booking!











4:00PM - 9:00PM


10:00AM - 10:00PM


2:00PM - 7:00PM



1203 E. 10th St.,

Roanoke Rapids, NC 27870